In planning care for a client with an acute stroke resulting in right-side hemiplegia, which positioning should the nurse use to maintain optimal functioning?
A. supine with trochanter rolls to the hips
B. left lateral, supine, brief periods on the right side, and prone
C. sim's position alternated with right lateral position q2 hours
D. mid-fowler's with knees supported
Ans: B. left lateral, supine, brief periods on the right side, and prone
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A nurse is preparing to auscultate an adult patient's lungs. To hear bronchial breath sounds, the nurse should place the stethoscope on the patient's:
A) Lungs B) Manubrium C) First intercostal space D) Scapulae
A male patient has just been diagnosed with esophageal cancer. He knew that he was losing weight and fatigued most days, but he just attributed it to aging and working. The physician recommends chemotherapy and irradiation
However, the cancer has already metastasized. The patient asks the nurse what he can expect if he agrees to the treatments. The nurse responds, A) "The therapies may shrink the cancer." B) "The doctor is prescribing treatment measures to help you swallow better." C) "These therapies will most likely cure your cancer." D) "You need to talk with your physician some more. I will page him for you."
The process by which certain cells engulf and digest microorganisms and cellular debris is called
a. erythrocytosis. b. hematocrit. c. phagocytosis. d. hemostasis.
A client is having vivid hallucinations and does not turn to face the nurse when called by name. The client is trembling and appears frightened and agitated. What should the nurse do at this time?
A) Take the client's vital signs. B) Tell the client that his fear is unrealistic. C) Take the client to watch television in the day room. D) Explore the content of the hallucinations.